Dental Board of California
Licensing details for: 4691
Name: EL CENTRO DENTAL GROUP, EDDIE SIMAN, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Address of Record
1111 S 4TH STREET
EL CENTRO CA 92243
IMPERIAL county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SIMAN, EDDIE
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: SIMAN, EDDIE
License/Registration Type: Dentist License
License Number: 36834 Primary Status: Current - Active
Address :
14629 VENTURA BLVD
SHERMAN OAKS CA 91423
LOS ANGELES COUNTY
